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CONTRACEPTIVE CARE

Contraception is a major decision undertaken by many women and The Eman Al-Janabi MD obstetrics and gynecology practice, serving Brooklyn and Staten Island provides comprehensive contraceptive care to both women and young female adolescents seeking methods of preventing pregnancy. Since every woman’s case is different based upon personal reasons, different needs and concerns, we make it a priority to deliver exceptional services to meet all patient needs.We offer women services for the following contraceptiveforms; Intrauterine device insertions (IUD), Hormonal Nexplanon, Laparoscopy, Hysteroscopy, and Essure with no incisions.

Intrauterine Device Insertions (IUD)Intrauterine Device Insertions (IUD) are a highly effective and common form of reversible contraception sought after for most women. An intrauterine device is a T-shaped tool inserted inside a woman’s uterus allowing the cervix to hold it in place thereby preventing the chances of pregnancy occurring. If requested in urgency, IUDs are easily inserted upon a regular OBGYN visit. Two forms of IUDs are available; progestin hormonal IUD and copper IUD of which both are proven to be highly effective. Our practice aims to discuss both benefits and health concerns of IUD with our patients and provide a detailed review regarding the insertion of an IUD. It is essential for us to evaluate the well-being of our patients’ before proceeding with any form of contraceptives.

Hormonal NexplanonNexplanon is an etonogestrel birth control implant which has proven to be highly effective for up to 3 years. Nexplanon is inserted under the skin of a woman’s upper arm by our highly skilled medical professionals. Nexplanon is a thin plastic rod which can be felt in the arm after insertion. Nexplanon prevents ovulation from occurring while also thickening vaginal fluid to prevent fertilization. Since Nexplanon is a form of reversible contraception, women have the choice of having it removed during the 3 year period. Removal of Nexplanon involves a minor surgical procedure where an incision is made on the arm where the implant is located. Our medical professionals prioritize in informing and discussing women about both the limitations and side-effects of utilizing Nexplanon as a birth control.

LaparoscopyLaparoscopy is an abdominal surgical procedure which enables our medical professionals to gain an insight in a woman’s reproductive organs. Laparoscopy usually involves making a small incision close to the navel and with utilization of a harmless gas the abdominal cavity inflates allowing our medical professionals to utilize the laparoscope to identify any serious problems. Laparoscopy is a valuable tool for making a diagnosis of various reproductive health problems. Laparoscopic sterilization is utilized for undergoing a permanent form of contraception known as tubal ligation which is simply having the fallopian tubes closed off to not allow sperm to fertilize an egg thus preventing pregnancy. This procedure is highly effective and routinely check-ups are carried out to determine patient well-being. Before women decide to undergo for a permanent form of contraception, we review and consider all possible benefits and limitations of such a decision ensuring women are confident with their choice.

Hysteroscopy/D&CHysteroscopy is a procedure wherein a device known as a hysteroscopy is inserted through the vagina and cervix into the uterus. D&C refers to dilation and curettage and involves a surgical procedure in which the cervix is dilated and a thin tool is inserted into the uterus to remove tissue from the uterus. A D&C is usually performed alongside a hysteroscopy under general anesthesia. Similar to laparoscopic sterilization, hysteroscopic sterilization (without making incisions), uses implants to cause tissue growth to close off the fallopian tubes preventing pregnancy. Such forms of irreversible contraception are carried out dependent on patient needs.

Essure with no Incisions Essure is a permanent form of contraceptive where a flexible insertion is made through the opening of the vagina and uterus and placed in each fallopian tube. This procedure does not require any incisions or general anesthesia. Essure enables a natural seal to form around the inserts on the fallopian tubes preventing sperm form fertilizing an egg thus preventing pregnancy from occurring. However, women are recommended to utilize other forms of birth control to prevent pregnancy during the time Essure forms its natural barriers over the fallopian tubes. As with all forms of contraceptives, side-effects are displayed and three months post- insertion we require an Essure confirmation test to determine the reliability of Essure as a birth control.